Organization Active NPI

Alan Fligiel MD PLC

  • Dermatology Physician
  • Trenton, MI
National Provider Identifier
1639245103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301045623 Issued in MI
Legal business name
ALAN FLIGIEL MD PLC
Practice address
1650 Fort Street
Suite B
Trenton, MI 48183-2041
Phone
(734) 676-3376
Fax
(734) 676-7162
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan Fligiel, MDNPI 1285681486
Title
Member
Phone
(734) 676-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301045623 MI Primary

Addresses

Primary practice location

1650 Fort Street
Suite B
Trenton, MI 48183-2041

Mailing address

1650 Fort Street
Suite B
Trenton, MI 48183-2041
Phone (734) 676-3376

Other identifiers 1

IdentifierTypeStateIssuer
1919015MedicaidMI

National Provider Directory

National Provider Directory

Locations

1650 Fort St
Ste B
Trenton, MI 48183
Phone (313) 676-3376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639245103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 FORT STREET",
            "address_2": "SUITE B",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-676-3376",
            "fax_number": "734-676-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 FORT STREET",
            "address_2": "SUITE B",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-676-3376",
            "fax_number": "734-676-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN FLIGIEL MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLIGIEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-676-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301045623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1919015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.